1439 Highview AveINSPECTION RECORD
C1TY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number: '•' •?s ft ?
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675 ,
? SITE ADDRESS: APPLICANT:
14.44+ Ilii,ll'J]Ftl AvI
F1iri11ulftJ li( kl'
PERMIT SUBTYPE:
.
l) 1uF14,;1 1 ?r 1) niNtV I + AN I ()N';(
(t,- i: ) (+?'+ -l'.?M;.
TYPE OF WORK:
INSPECTION .. .
;?. . ., DA
: .. . . o .
?
? : _ ?
Permit No. Pwnh Holder Date TNephone 8
ELECTRIC
PLUMBING
HVAC
Inspection Date Insp. Comments
FOOTINGS
FOUND
FRAMINCi
ROOFING
ROUGH
PLUMBING
PLBG
AIR TEST
ROUGH
HEATING
GAS SVC
TEST
INSUL
GYP BOARD
FIRPPLACE
FIREPLACE
AIR TEST
FINAL PLBG
FINAL HTG
ORSAT
TEST ,
BLDG FINAL
V
85MT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
CITY OF EAGAN Remarks "
Addition H-TGH '' ACR'ES Loc Pt'• 3 Rlk 1 Parcel 10 32880 032 00
owner Street 1439 Highvi.ew Avenue State Eag.an, MN 55121
?
/ xn " ' ' i
Improvement Date Amount Annual Years Payment Receipt Date
STREET SURF. Z 1982 2641.24, 176.08 15
STREET RESTOR.
GRADING
SAN SEW TRUNK , 215.00 pai d o n 9) , A 9 8-5-76
SEWER LATERAL 1324.17 10 P31d C002 C S- - E)
WATERMAIN
WATER LATERAL 1977 6.82 10 P31d 0002 6 8- - 6
WATER AREA 1977 ]_ ]. P '
W TRK
W I.AT
4 2875.80- 191.72
GUTTER
SIDEWALK
STREET LIGHT
WATER CONN.
BUILDING PER. '
SAC
PAR K
0 CASH RECEIPT
CITY QF tAG'AN
3830 PILOT KNC% ROAD
EAGAN, MINNESOTA 55122
DATE
AECEIVEO
fRON ?1.: ? !_ _. _ -1 _ ?'-?..i ( .• ? ` 1
- - 4.
AMOUNT i'o
/
Iou
rl P?cu rih nucnv
DOUARS
BY
C, 4826 Wh--P•y- Copy
Yepovt-Postirg Copy
Pink--Fpe Copy
Thank You
_?.
O?r
. A
SEWER & WATER PEHMIT
CITY OF EAGAN
3830 Pilot Knob Rd.
P.O. Box 21199
Eagan, MN 55121
OFFICE USE ONLY
PERMIT DATE
WATER PERMIT # SEWER PERMIT #
METER # 443 SIA 7 7 9 B.P. RECEIPT # -' 3
READER # /s S B.P. RECEIPT DATE
METER SIZE -SAL-
ISSUE DATE .?q-1-94 - PRV - BOOSTER PUMP
SITE ADDRESS
LOT _''.?-BLOCK SEC/SUB
APPLICAAIT: r N C.,i;" iADDRES5:
CITY, STATE
PHONE:
PLUMBER: _
ADDRESS:_
CITY, STATE
PHONE: _
OWNER: 61, (1 r C i?
ADDRESS:
CITY, STATE ZIP ?' ??'•?
PHON E:
ZIP .)5 h" "T
ZIP
PERMIT REGIUESTED
.. -,L\- SEWER ? WATER ? TAPS
COMM/1ND
.? RESIDENTIAL
-Z NEW
- EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORD{NANCES:
SIGNAT EN MET ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR SYORM SEWER PERMITS, CONTACT
ENGINEERIMG DEPT.
SEWER 8 WATER PERMIT OFFICE USE ONLY
CITY OF EAGAN PERMIT DATE
3830 Pilot KnOb Rd. WATER PERMIT #? - SEWER PERMIT #
P.O. BOX 21199 METER # B.P. RECEIPT #''
Eagan, MN 55121 READER # B.P. RECEIPT DATE
METER SIZE
ISSUE DATE - PRV _ BOOSTER PUMP
SITE ADDRESS _
LOTQ:?.?BLOCK
APPLICANT: ? - /t/ U* j `?
AQDRES"5:
CITY, STATE ZIP -
PHONE:
s
PLUMBER:
ADDRESS:
CITY, STATE ZIP -? -
PHONE:
OWNER: f r`,? ??- ??Cl c
ADDRESS:
CITY, STATE ZIP ---
PHONE:
PERMIT REQUESTED
? SEWER ? WATER ? TAPS
- COMMIIND -,L RESIDENTIAL
? NEW - EXISTING
I AGREE TO COMPLY WITH CITY OF
EAGAN ORDINANCES:
A
SIGNATURE WHEN METER ISSUED
PLEASE ALLOW TWO WORKING DAYS FOR PROCESSING. FOR STORM SEWER PERMITS, CONTACT
ENGINEERING DEPT.
. . . . t+vrv: - . _ . . . .6", , , . , .. . .
` . „ CITY OF EAGAN
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
PHON E: 454-8100
BiJILDING PERMIT Receipt # ?t
Est. Value $193
Site Address 1439 HIGgVIEY AY1:
Lot 032 Block 00 SeciSub. HIGHVIBW ACRES
Parcel No.
W Name BASIC EUILDERS, INe
0 Address 14,450 S ROURt TR
City jtO88M0Ut11' Phone 423-9114
o Name SAME
Z?
00¢ Address
? City Phone _
Name _
Address
City -
Phone
I hereby acknowlege that I have read this application ar?d state that the
iniormation is correct and agree to comply with all applicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature ol Permitee
A Building Permit is issued to: bA3IC EUILD$R8
on the express condition that all work shall be done in accordance with all
appllcable State ot Minnesota Statutes and Gty oi Eagan Ordmances.
Building Official
A 17324
1989
OFFICE USE ONLY
Occupancy FEES
Zoning + ?1
(Actual}Const V-h Bldg. Petmit 4??00
Wlowable) Y"8 Surcharge 96. 50
# of Stories
9
00
i
"3
l
Length 66 9
an Rev
ew
P
Depih ?
?
SAC, City 100000
S.F. Total - SAC, MCWCC 575000
S.F. Footpnms -
Site Sewage
On
_
ater Conn s?,
?
W
On Site Well Waler Meter 90•00
MWCC SYstem xx so.oo
City Water ? Acct. Deposit
PRV Required _ S/W Permit 20900
Booster Pump - 5!W Surcharge i.00
Treatment PI 228•00
APPROVALS Road Unit 340,?
Planner - Park Ded.
Council
Bldg Olf.
Variance _
- Copies
TOTAL 39509.50
r
Permk No.
Permit Holder
Date
Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC ?,? ? ? !'?L'Z ' ' ? ^"G`• 5C 9i ?
Inspection Date Inap. Comments
footings I %
Foundation
frauning
Rooting
Rough PIb9. - ? ? ? -.3 ? -/ ? C? L ?a ??
Rough Htg.
rzw
Isu1. -L-fd
Fireplace ?- / s'-9C S'
Final Htg. - d
Final Plbg. - jf O-UV
Const. Meter Plbg. Inspector- Notify Plumber
Engr.IPlan
Bidg. Final
Deck Flg.
Ueck Final
wwl- Cs?
Pr. Disp.
-3
or s a
(gtr#i#irate ,af (Orrupaury
Citp of (tagan
apprtritPtlf IIf iltnim jwpl`ttDt[
This Certifrcate issued pursurrnt to the requirements of Section 306 of the Uniform Brrilding
Code cer[ijyrng that at the Ame oJissuance this structure was in compliance with 1ke various
ordinances ojthe City regulaling builrfing constnwtron or use. For the jollawing.•
um c,mamom _SF DWG/GAR BMg. M„dt No. 17324
oaua.ncr TYx R3/M1 zoa;,,g Ma;a R1 1y,pe ConsL VId
OwoerdBwlding BASIC BUILDER5. INC. pdd,,. I4450 S. _-' IR.s R.QHa.
8uad;Ag 1439 HIQ1VIEW AVE+If]E L-,,;,,, i,0325 Boo, HIaTVM &-Ms
;
D„,: 1N?RM 30, 1990
? -r
Building OtxW
POST IN A CONSPICVOUS PLACE
1
-•-r . . -..... ..;pt;. . . .
:r.
CITY OF EAGAN 17325
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55121
BUILDING PERMIT PHONE: 454-8100 ? ?pn(D
Receipt # O o?
To be used for GAUGE Est. value $16 lflW Date MV 21 ,19 89
5ite Address 1439 NIAiVIEiT AVS
Lot 032 Block 00 Sec/Sub. HIGHVIEM ACItEs
Parcel No.
W Name- BASIC BUILDSRS. INC ; Address 14450 S ROBER? TR
° City ROSZHDUNT Phone 423-9114
;o Name SAME
;cc Address
'- City Phone
U¢
WW Name
w
Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
information is correct and agree to comply with all appiicable State of
Minnesota Statutes and City of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: BUIC BUILDEBS, INC
on the express condition ihat all work shall be done in accordance with ali
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Building Official
OFFICE USE ONLY ?
Occupancy M-i FEES ?
Zoning R-i
y"p ?
172.00
(ActuaqConst Bldg. Permit
(Allowable) V-N 8.00 J
Surcharge
# of Stories
36'
Plan R
view
"'00
Lenglh e
Depth ?a' SAC, City
S.F. Total -
SAC, MCWCC
S.F. Footprints -
On Site Sewage _ Water Conn
On Sile Well - Water Meter
MWCC System _
City Water
_
ct. Deposit
Ac
PRV Required _ S/W Permit
Booster Pump - grW Surcharge
Treatment PI
APPROVALS Road Unit
Planner - Park Ded.
Council
BIdg.Off. _ Copies
????
Variance - TOTAL
Permit No. PermR Holder Date Telephone #
WATER
SEWER
PLUMBING
H.V.A.C.
ELECTRIC
Inspectlon Date Insp. Comments
Footings I a/
Foundation S G
Framing ,j
Rooting
Rough Plbg.
Rough Htg.
Isul.
Freplace
Fnal Htg.
Finai Plbg.
Const. Meter Plbg. Inspector - Notity Plumber
Engr.7Plan
Bldg. Final
Deck Flg.
Deck Fnal
Well
Pr. Disp.
? " , ----.-
'' % •? •?
PERMff # -
MECHANICAL PERMIT
CIT1f OF EAGAN RECEIPT #f
3830 PILOT KNOB ROAD, EA(3AN, MN $5122 DATE
CONTRACT PRIGE ..
.
PHONE: 454-e100 :
3
Site Addre?s
Lot ~ ?` ?Ipr?k
b BLDG. TYPE WORK DESCA1PT10N ?
? N
f r ?
? tJv L R?
ew
Mult Add-on
? Name
Comm. ? Repak - -
? Address
i c
Ciry
Phone pther
42 FEES
"
? '
_
? % , .
Name __ ? i [•
f , '
- $24.00
RES. HVAC 0-100 M BT
Address ADDITIONAL 50 M BTU _ 6.00
HVAC INCLUDES NC ON NEW
(RES
? p City Phone .
? CONSTRUCT10N)
GAS OUTLETS (IAIMMUAiI -1 PER PERMIn - 1.50 EA.
TYPE OF WORK
? COMM/INO FEE -196 OF CONTRACT FEE
Forced Air M BTU J APT. BLDGS. - COMM. RATE APPLIES
Boiler M BTU TOWNHOUSE & CONdOS - AES. RATE APPLIES ;
'
Unit Heater M BTU MtNIN1UM RESIDENTIAL FEE - ALL ADaON 8
?
Air Cond. M BTU REMODELS - 12.00
MINIMUM COMMERCIAL FEE - 20.04
Vent. CFM
?- STATE SURCHARGE PER PERMIT - .50 ?
Gas Piping Oudets # ' (ADD $.50 S/C PER EACH $1000.00 OF PERMIT FEE)
Other /
-
, .
PERIItT FEE:
• j(i
SIGNATURE OF PERMITTEE
S/C:
?
TOTAL:
'?? "
FOR: CITY OF EAGAN
PLuMBiNG
CONTRACT
PRICE
? Address
c Clty _
CITY OF EAGAN
3830 PILOT KNOB ROAD, EAGAN, MN 55122
PHONE 4548100
Cfty
FEES
COMM./IND. FEE - 196 OF CONTRACT FEE
APT. BLDGS. - COMM. RATE APPLIES
TOWNHOUSE & CONDO - RES, RATE APLLIES
, MINIMUM - RESIDENTIAL FEE $12.00
MINIMUM - COMM.INO./FEE $20.00
STATE SURCHARGE PER PERMIT .50
(ADD $.50 S/C PER EACH $1,000 OF PERMIT FEE)
?
SIGN URE OF PERMITTEE
FOR: CITY OF EAGAN
Res.
Muk.
Comm.
Other
For Office Use Only
PERMIT #
RECEIPT #
DATE:
New
Add-0n
Repair
RES. PLBG. ONLY - COMPLETE THE FOLLOWING:
NO. FIXTURES TOTAL
4(_ Water Closet - $3.00 $?.Q, d?
Bath Tubs - $3.00 (.t Gatl- ?
- - ? l.avatory - $3-09 - -o 4 ,
Shower - $3.00
Kitchen Sink - $3.00
unnauBidec - $3.00
Laundry Tray - $3.00 ?-2' 7 ?
? Floor Drains - $1.50
Water Heater - $1.50 .4i ??-
Whirlpaol - $3.00
Gas Piping Outiets - $1.50
(MINIMUM -1 PER PERMIT)
Softener - $5.00
Well - $10.00
Private Disp. -$10.00
Flough Openings - $1.50
PERMIT FEE: .St)_
STATES S/C: • <IT_
GRAND TOTAL: 53-00
CITY OF EAGAN N2 17324
3830 Pilot Knob Road, P.O. Box 21-199, Eagan, MN 55127
? j ?
BUILDING PERMIT ` PyONE:454-8100 Receipt# D 0`fi' ?Jp'C< o<.E'
To be
SF DWG/GAR Est.vaWe $193,000 Date NOV 21 ,lg89
Site Address 1439 HIGHVIEW AVE
Lot 032 glock 00 Sec/Sub. HIGHVIEW ACRES
Parcel No.
WlName BASIC BUILDERS INC
o Address 14450 S ROBERT TR
City ROSEMOUNT Phone 423-3114
?F Name SAME
ga AddresS
? City Phone
ww Name
r
E, 03 Address
a W City Phone
I hereby acknowlege that I have read this application and state that the
intormation is correct and agree to comply with all applicable State of
Minnesola Statutes and Cily of Eagan Ordinances.
Signature of Permitee
A Building Permit is issued to: RA.CT(' AIfTi?FRS
on the ezpress condition that all work shall be tlone in accordance with all
applicable State of Minnesota Stgalules and-Cyyit,y of Eagan Ordinances.
Building Official ?? 1 71.f?i I li?
OFFICE USE ONLY
Occupancy R- 3 M-]. FEFS
Zoning -R-1
(AcIUapConst y=K BIdg.Permft 966.00
(Allowable) V-N Surcharge 96 . 50
# ol5tories
66 '
Plan Review 483.00
Lenglh
Deplh 48 ? SAQ City 100.0
?
S.F. Total - SAC, MCWCC 575.00
S.F. Faolprinls _
On Site Sewage _ 'Nater Conn 580.00
On Site Well - Waler Meter 90.00
MWCC System xx
A«t
Deposit
30.00
Gity Water xx .
PRV Fequired - SMf Permil
n
20.0
eooster Pump - SiW Surcharge
n
1-0
Treatment PI
?
228.0
APPROYALS Roatl Unit 14n _ nn
Planner - park Ded.
Council
BIdg.Otf. _ Copies
Variance - TOTAL 3,509.50
CITY OF EAGAN N2 17325
3830 Pilot Knob Road, P.O. Box 21- 799, Eagan, MN 55121
PHONE:454-81 00 ? i
J
/0i
BUILDING PERMIT Receipt # ?
oS
`
7
To be used for GARAGE Est. Value $16,000 Date NOV 21 , 7 g$?
Site Adtlress 1439 HIGHVIEW AVE
Lot 032 81ock 00 SeGSub. HIGHVIEW ACRES OFFICE uSE oNLY
Pamel No. acupancy -N--1 FEFS
R-1
Zoning
w Name BASIC BUILDERS. INC (ACtual)Consl BIdg.Permit 172.00
o Address 14450 S ROBERT TR (Allowable) V-N h
S 8.00
City ROSEMOUNT phone 423-3114 x m Stories arge
urc 86
00
36 ? plan Review .
Length
F Name S?E Daplh zs
' SAC
City
i
p
0 AddlB55 S.F.Total .
- ,
, SAQMCWCC
• City PhOnB S.F. Pootprinis _
?Nater Conn
On Site Sewage -
r?
F W
Name
on Site well
-
Water Meter
? ddress MWCC tem
Q = qcct. Deposit
C
phOne
Y city
W P
i
S
PRV Required _ erm
/
t
I hereby acknowlege ihat I have read ihis application and state that the eooster Pump - SiW Surcharge
inbrmation is correct and agree to comply with all applica6le S[ate of
ppMinneso[a Statutes and Ciry of Eagan Ordinances. Trealment PI
SignatUfe of Permitee APPROVALS Road Unit
A Buildirtq Permit is issued to: BASIC BUILDERS. INC Plenner - park Ded.
on the express condition that all work shall be done in accordance with alt Council
applicahle State of Minnesota Statules and City of Eagan Ordinances. Bldg. Ofl. Copies
6uilding Official 71
l?1 ??.PJl,? ??JJ Variance _ TOTAL 266.00
DATE: 11/30/84
RE:
1439 N16HVIEW AVBNUE. L032, 800. N1GAVIEN ACRES
? Your Sewer 8 Water Permit for the above property has been completed. It will be held at the
Public Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
?cALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
_ Kour Sewer R Water Permit for the above property cannot be completed for the following
'reasaSis:
G ,
- Your Sewer & Water Permit for the above property has been completed, hut the meter cannot
be issued or occupancy allowed until further notice.
COMMERCIAL PROJECTS ONLY: Please pay for meter atCity Ha11. Meter size must be
confirmed by Bill Adams or Dirk House (Plum6ing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REDUIRED BV LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
Secretary, Building Inspeciions Dept.
DATE: 11/30/89
RE: 1439 H1GHV1Eii AVENUE. L032, 800, N1GHYlEW ArRES
xx Your Sewer & Water Permit for the above property has been completed. It will be held at the
Pu61ic Works Garage (3501 Coachman Road) until the meter is picked up. BE SURE TO
,1 CALL PUBLIC WORKS (454-5220) FOR YOUR PERMANENT WATER TURN ON.
?
Your Sewer & Water Permit for the a6ove property cannot be completed for the following
Masons:
s1
- Your Sewer & Water Permit for the above property has been completed, but the meter cannot
be issued or occupancy allowed until further notice. y
COMMERCIAL PROJECTS ONLY: Please pay for meter at City Hall. Meter size musl be
confirmed by Bill Adams or Dirk House (Plumbing Inspectors - 454-8100) before issuance.
WARNING: BEFORE DIGGING, CALL LOCAL UTILITIES - TELEPHONE, ELECTRIC, GAS, ETC.
- REQUIRED BY LAW.
CONTACT COMMUNITY DEVELOPMENT DEPARTMENT FOR WATER TURN ON POLICY.
SecreTary, Building Inspections Dept.
??2? yc: y?3ro,?
? 3 2 5 4 4?
?
Request Date ?
n[? Fire o. ' R - n Insped'an
FequireE?
? ReaEy Naw ill Notify Inspedor
hen ReeAy?
? No
I;ecensed contractor ? owner hereby request inspection of above elecirical work at:
Job Address (Street, Boa or Route NoJ/
'
3 i Ciry 0A ?
H
hu,
o4!
Seclion No. Townshlp Name or No.
I
Fange No.
Counry
„0sakm r?
Occupant (PRINT)
,45i'C ,?ilil?c/lJ phone No.
Power $upplie
? Atldress /
?G a(?_ !l •
?D-G l?
Eleqrical Contractor (Cqmpeny Name)
ul
? CoMractor5 Uwnsa No.
?I`IZ-S
e
?ov C ?
Mailing tlress (Comrador a Owner Mek?y Installatbn)
j?Z y':ZS .d?2?1/n u.,y cJp Y , ?
ye, 4-o-V/ SJ? 6
Aulhorix ign re(CoMr qodOwner Makin all on) Phone Numbe?
?
MINNESOTA STATE BOARD OF ELE pICITY THIS INSPECTION REOUEST WILL NOT
Grlggs-Midwey 61t1g. - Room 8.773 BE ACCEPTED eV THE STATE BDARD
1821 Unlveraity Ave., SY. Peul, MN 55104 UNLESS PROPER INSPEGTION FEE IS
Flwne (612) 603-0800 ENCIASED.
so -
? 32544
REQUEST FOR ELECTRICAL INSPECTION
? Sea insiruccions (w mmpletiig Ihis torm on back of yellow mpy.
`X" Selow Work Covered by This Request
EB-00001-0]
?-
e Adtl Rep. 7peofBUilding AppliancesWired EquipmemWiretl
Home Range Temporary Service
Duplex Water Heater Electric Heating
Apt. Building Dryer Other (Specify)
Comm./Industrial Furnace
Farm Air COndi[ioner
Olher (apecify) Conhaclor§ Remarks:
Compute lnspection Fee Be/ow:
# Olher Fee # ServiceEntranceSize Fee # Circuits/Feeders Fee
Swimming Pool 7 0 to 200 Amps 1 0 to 100 Amps pb
Transformers Above 200 _ Amps Above 100 _ Amps
Signs Inspec[or§ Use Only: TOTAL
Irrigation Booms
. Special Inspection
AIarMCommunication
Other Fee f
I, the Electrical Inspector, here6y Rough-in
certiry that the above inspection has
been made. Final oaie
OFFlCE USE ONLY
This reque5i void 18 moMhs /ram
INSPECTION RECURD
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMITTYPE: guzLoznG
Permit Number: 026081
Date lssued: 07/ 2 7 J 9 5
SITE ADDRESS:P•r.N.: 10-32880-032-00
Lnr: sz sLocK:
1439 WZGHVIEW AVE
HIGHVIEW ACRES
PERMIT SUBTYPE:
sF (MZSC.)
APPLICANT:
DIVERSYFIED AMERTCAN CONST
(612) 929-7982
TYPE OF WORK:
ALTERATIqN
INSPECTION
FRAMING .. .
ROUGH IN PLB6 D.
OUGH IN HTG FTNAL
. e.-
z .. , ? :9?
, m • ??
[?,? . . . . ..
>. _ .... , - _ . ..> _
?a.. ? .c .. ...... ... . . _ _.6 .. , _..
.. . . e?
_. .. - .._........._.+..... s . -
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
SITE ADDRESS:
PERMIT
PERMIT TYPE:
Permit Number:
Date Issued:
1439 HIGHVIEW AVE
LOT: 32 BLOCKs
HIGHVIEW ACRES
P.I.N.: 19-32880-032-00
DESCRIPTION:
B
rmit 7ype SF (MISC.)
Irk Type ALIERATItlN
?.
e? + ?a u? t d'xPe?"?#t
^• flt =tq t c s
mr
REMARKS:
Ci2,oo?oi78
BUILDING
026081
07/27/95
4p, ??'V? i I+?zeaw+r?{ ? r? 3?, vAi
ee4°u'??u+.?rd ?`?,'ui,a
FEE SUMMARY:
VALUATION $9,000
Base Fee $149.75
P 1 a n R e v i e w $52-4r- A.1? ? aR 9 5
Surnherge $4.50
Total Fee t-`?
1Stl.aS
CONTRACTOR: - Applicant - sT. LIC. OWNER:
pIVERSSFIED AMERZCAN CONST 19297982 20017349 MET2 MEL
5115 EXCELSIOR BLVD 107 1439 HTGHVIEW qVE
ST LOUIS PARK MN 55416 EAGAN MN
(612) 929-7982 (612)452-4020
ad thl?s
??m:pip .wS.t'h ble°
?s.
APPLICANT/PERMITEE SIGNATURE
,?5,?ntt
D SIG T RE
?
?
?
?
CITY iDF EAGAN
3830 PILOT KNOB RD - 55122
1995 BUILDING PERMIT APPLICATION (RESIDENTIAL)
6814676
3 repisterod site wrveys
2 copies of plans (indude beam 8 window sizes; poured fid. design; etc.)
1 energy celwlatrons
8 --oleof hee nation lan R bt letted fte 717l9
?y?- r ?
? 2 c?les ot plan 0?"? Ili 9S
? 2 sMe surveys (exteria addkrons & dedcs)
? 1 energy cakulations for heated additions
teyuirod:prom Yes No P a r 3 ? ??
DATE: LZ?i?? ` 2-1:7 CONSTRUCTtON COST:
,. ,. -_ ,. t , % ,
DESCRIPTION OF WORK:
STREET ADDRESS:
LOT ? 3 ?' BLQCK
PROPERTY
OWNER
(D SUBD.IP.I.D. #:
Name: ±`'`?"'!'? ? Phone #:
?. ..a,
5treet Address-
City: State: Zip:
CONTRACTOR Company: Phone#:?2? ?2-W
Street Address: License #:
City:Tk0j-c2s?M? State:lLQ? ZipZ?
ARCHITECTI Company: Phone #-
ENGINEER
Name: Registration #*
Street Address-
City: State: Zip:
Sewer & water licensed plumber: Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this applicatfon and state tlz
applicabie State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY
correct
-6 ((Z)
to comply with ail
Certificates of Survey Received _ Yes _ No ,1 U 1_ 19 1995
Tree Preservation Plan Received Yes No -------------
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation o 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
0 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. 0 17 Swim Pool
? 03 SF Addition o 08 8-plex o 13 Garage/Accessory o ZO Public Facility
0 04 SF Porch o 09 12-plex o 14 Fireplace ? 21 Miscellaneous
,,?5 SF Misc. a 10 _ plex o 15 Deck
WORK TYPE
n 31 New ae?f-33 Alterations o 36 Move
0 32 Addftion ? 34 Repair o 37 Demolition
GENERAL INFORMATION
Const. (Actual) Basement sq. ft.
(Allowabie) Main level sq. ft.
UBC Oaupancy sq. ft.
2oning sq. ft.
# of Stories sq. ft.
Length sq. ft.
Depth Footprint sq. ft.
APPROVALS
Planning Building
Permit Fee
Surcharge
Plan Review
License
MCNVS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SIW Pertnit
SIW Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
Engineering
Valuation: $
MC/W5 System
City Water
Fire 5prinklered
PRV
Booster Pump
Census Code.
SAC Code
Census Bldg
Gensus Unit
Variance
T, o00
sy
oi
?
?-
% SAC
SAC Units
CITY USE ONLY
LOT RECEIPT #: 1 a ? o414
SUBD. I`1 (' /\ p,p RECEIPT DATE:
MECHANICAL PERMIT
1999 M£CHLALNICAL PERMIT (fiESIDENTiihl)
crrY oF EALsnx
sSso PaoT xxos itn
frtsnx auv 55i E2
!
Date: (651) 6$1-4675
Complete this section on _lv if you are installing HVAC in a single family dwelling, townhome or condo under
construction and not owner loccunied.
• HVAC: 0-100 M B T U
ADDI ITONAL 50 M BTU
• Gas outlets (minimum of one required @$3.00 ea.)
3tate Surcharge
Total
$ 30.00
6.00
.50
$
Complete this section onlv if you aze remodeling, adding to, or repairing an existing single family dwelling,
townhome, or condo. Please indicate if it is a new item, alterarion, or repair.
_ New Alteration Z Repair _ Other
Reminder.• Ca1168I-4675 for inspections.
_ Furnace _ Air condirioning
X\ Air exchanger c?- Other
$ 30.00
State Surcharge .50
Minunum Total Due $ 30.50
SITE ADDRESS:
OWNERNAME: f??r}!) e. 4-v MQ.1 Ij P4 -lz PHONE #: (°S j" N Sr? - VO ao
INSTALLER NAME: ? XI mf:7Ct ?? SY1 C• PHONE #: (A?, ? a_ y?i3 - 9 9 fo N 96 STREET ADDRESS; QM Q? j p }(
CITY: 13'e +h'r I STATE: MIV_ ZIP: cStSdG S
f
in ..-
1..?,m?_? N(VO??I
SIGNATCTRE OF PE ITTEE U
CITY USE ONLY
L _ BL _ RECEIPT#:
SUBD. RECEIPT DATE:
APPROVED BY: , INSPECTOR MEGHANICAL PERMIT #:
1999 MEcHAvicA. PERMrr (coMMERcIW
CiTY OF £AfilkN
3$30 PILOT KNOB ftD
E4CiaRN, hIN 55122
(651)681-4675
Please complete for: ali commercialfindustrial buildings
multi-family buildings when separate permits are not required for each dwelling unit
DATE:
CONTRACT PRICE:
WORK TYPE: New construction Install U.G. Tank
_ Interior Improvement _ Remove U.G. Tank (Minimum Fee)
Processed Piping (Minimum Fee)
*'NOTE: When installing/removing underground tank, ca11651-681 -3675 for inspecrion by fire marshal
and pltunbing inspector.
DESCRIPTION OF WORK:
FEES: 1% of contract price QR $30.00 minimum fee, wLicbever is greater.
CONTRACT PRICE x 1°/a
PERMIT FEE
STATESURCHARGE
TOTAL
-----------------------------
STTE ADDRESS:
OWNER NAME:
TENANT NAME (IMPROVEMENTS ONLI):
INSTALLER:
ADDRESS:
CITY:
($.50 per $1,0(10 of pl;=2A fee due on all pemuts.)
PHONE #:
(AREA CODE)
PHONE #: -
(AREA CODE)
STATE: ZIP:
SIGNATURE OF PERMITTEE
11319
3INGL6 F6MILY DiiELLIBGS
1989 HOILDIBG PEHHTT IPPLIC?TION
C1TY DF EIGAN
LNOV c ; 1sas
lULTIP'!.E DiIELLINGS
CO!@'fERCIAL
2 ?oF py?NS? 2 36TS OF PLAN3 2 SETS OF IACHITECTURAI.
3 REGISTERED 3TT 3 9EY3 BF:GIS7'6RED 3ITS SOHVEI3 - 3 STBOCTORAL PLANS
1 SET CILCS. ((:HEC& flITH HLDG DIV.) i SET OF SPECIFIC6TIONS
1 SET OF EHEAGY CALC3. 1 SET OF EIiESGY CALCS.
MULTIPLB DWELLINGS AENT9L ONTTS FOA SALE ONITS t OF 0liITS
NOTEt 1DDHESSE4 FOH CORt7ER LOTS - CDATRACTOA/HOME01iNER !1[IST OF.SIGBITE 11HIC8 iDAAESS
IS DFSIAED. 80 C6ANGES NILL BE OI.LOHED ONCE BUILDING YEAMIT IS ISSQED..
3EilER 6 M9TER PENHIT FEES 1tiD lCCO[INT DEPOSIT FBES 1tILL Bfi IACLiJDED iiITH YHE BOILDINO
PEAMTT FEE. PHOCESSING TIME FOR SEWER lAD WATEA PERMIIS I3 TWO DlYS ONCE A PEAMTT H65
BEEN COMPLETED INDICATING A LICENSED PLMMER.
PENALTY APPLIES WHEN: PEEiMZT IS NOT PAID FOR IN S6ME MONTH IT IS REQtIWN1HO';i ?- I?ICt,i
LOT CHANGE IS REQOESTED DNCE PERMIT IS ISSUED.
To Be Used For: PEYAcadrD (,AtpqGE Valuation: 1 (O'600' Date: //' Z",F?
site Aadrness i??Q ? i+ui tuJ i/?/ C
?'?`' ? o- 3z Seo- caz-cx,
Lot ('' 2, Block ?
Pareel/Sub .W,qA??fa7 YrG(f,`?
Owner
Address ??? LD?iF DAK ?1? .
City/Zip Code C A-yAA)
Phone t/ 5 2 - qD 2-D
Contraetor 13R5! z- R?AaErS
Address _f g?s(? ?:kD,'Rt1?9F2? Q •
City/Zip Code
Phone qn- 3vq
Arch./Engr.121AN-) LC9y 2-nL, _
Address
City/ZSp Code
Oecupaney FEES ?
Zoning ?
Actual Const V-w Bldg. Permit I12.00
Allowable v-N Sureharge .o 0
f of stories Plan Heview ff&•OD
Length 36 ' SAC, City
Depth 2$' SAC,,MHCC
S.F. Total Water Conn
Footprint S.F. Ylater Meter
Acet. Deposit
On site aewage S/W Permit
? On site well _ S/W Surcharge
MNCC System Treatment P1.
City vater _ Road Unit
PRV required _ Park Ded.
Booster Pump _ Copies
SIIBTOTAL
lPPA0YAI.S Penalty
Planner TOTAL
Couneil ?/
Bldg. Off. ZD
Yarianee
Phone # \-`?'Z - In 4 r?
VA 1 ua-rjoO
2, 8 x3G ` 10 b6 x 15-=? 1512.D ort 16 oea
-_?
, rertiLi_caLe Sor:
. Aasi-c Flui_l.ders fnc. ? Rk: 1.40 Pg- 11
DELMAR H. SCIFIVUmMZ
UNO SURVEYORS, INC.
PeqlalereC U.der l.wa el 1 he Slele M Minn.aote
14750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNE!iOTA 55088 612/423-1789
0 SURVEYOR'S CERTIFICATF
? 137.25 se9°a7'a6"w 1
j \
? c- w 1/n ii„e
3 3 ?
0 0
N N
N N
O
O 0
0 Z
2 ?
?
SCALG: ]. i.nch = 40 feet_
a o DenoY.es set iron pi.pe
• Denotes found iron
F- ?
d a
J J
? a
Not.e: Eloase on west side is set
0 ? back at 39 Et.
O M
flouse on east side is set
M 873 a..o 0o
36 v back at 56 ft.
V ? TOP HUB
Average setback = 47.5 ft.
07 GAFAGE N m
w89.92 pi-oposed garage floor
-
TOPHUB el.ev. = ft.
-.-
0
N
d y TOPHUB
y / g?a °s 88.68 ?
?-_--- -0;- . _ -
88.84 3026 2L3 32.5 \ 15 25.99 Vl
' I
TOP HUB • 04iW
U) nRoaosEO Q-?
q m f V ?
W r House m N ? J
' 16.5 p a , a 41 b? ,}
. ?- ? p95 ? 16.F3 m can.
90$4 t6 V 30_0- 29.93 _15 2625 : N ???? • . ' " A..?
TCX' !-IUA - 89.88
lDP HUB "P?t-
'V :• . ... ..
.
? ^ oti
1 ?
EAST -
? I37.25 FAST -----
_-_"_-- --------? ---- ----- - ---' _?__ = =-?
9484 9q.1 CC.
T. C.
fUl --AVC 1 V U G ...'-
- I-VTTVI-C OV_
LEGAL DESCRIP'PZON
The WesC 137.25 f.eet of the F,ast 304.50 feet of l.ot 3, HIGHVIEW nrRES, according to
the eecor_ded plal-. Checeof, Dakota County, Minnesota.
A1so showing the 1.ocation of a proposed house as stal<ed thereon.
I here6y certfly Ihel thia survey, plan. Or report wa3
prepered by me or under my direct supervision and ? f ].! 1,.
that I am e duly Regislered Land Surveyor under
the lawa ol tha Stale of Mlnnesote. ? ? r?// j A(1 /C,? (( ["v ?.'ri? •. '' _
November 2 1969 Delmer H. Schwanz
Deted _ ? Minnesote Regislre[lon No. 0625
f..
.
?
1989 B[TILDIAG PEAMTT APPLICATION
3 14 1 CITY OF EIGAN
? iMOV 0 2 1989
3INGLE FAMILY DiiELLIBGS
2 NS
3 ?GISTEAED 3IT 3 RVEYS
3ET ?CALCS.
MIDLTIPLE DiIELLINGS
2 3Ef3 OF PLiNS
BEGISTBAED SITE 30RYEYS -
(CHECS iTI'P8 HLDG DIY. )
1 SET OF ENERGY CllLC3.
COMMERCIAL
2 S6TS OF ARCHTlECTURAL
6 STHUCTITRAL PLiNS
1 SET OF SPECIPICATIDNS
1 SET OF EPEEGY CALCS.
lIULTIPLfi DitELLINGS RENTAL DNITS FOR 3ALE 08ITS # OF UNTTS =
80TEs ADDRES3ES F08 CORNER LOTS - CONTRACTOH/80MEOWNER lUST DE3IGN9TE iiSICH ADDRESS
I3 DFSIRED. NO CHBtiGES iiII.L BE ALLOiiEU ONCE BUILDING PEAHIT IS I3SIIED..
3ENER 6 liATfiA PElHKIT FEES lAD ACCODHT DEP03IT FEES i1II.L BB IACLDDED W'!TH THE HUILDINti
PERMIT FEE. PAOCESSING TIME FDR SEWEA AND A9TER PERMIIS IS TWO DAYS ONCE A PfiAMIT Hl5
BEEN COMPLk"fED INDICATIRG A LICEHSED PLOlBEA.
PENALTY APPLIFS IdHEN: PERMIT IS NOT PAID FOR IN SAME MONTH IT IS AEQ m'o'f
LOT CAANGE IS REROESTSD ONCE PERMIT IS ISSUED.
1'o Se Used For: bqK Valuation: =2=-?- Date:
Site Address ? y3? /7,g?turEuJ ifdg
. ',o-3zseooaz-«?
Lot Q5,2, Block
Parcel/Sub ?i fa1 k?t,15
Owner AF.1 I MA'-+"wr K
iadress ?51D LouE oAIC Ru.
City/Zip Code F"A/1) , yj')q . 5-5-/.21
Phone U 52 _ 402-D
Coatraetor 1,345! c- 'R?,\?g.rS
0
Adar8s9 1 ?4so S .Rn(likrcfi Q ,
cityiziP coae P„Sy,? . MvA , SSO68
Phone `f 2d - 3/)q
Arch./Engr. y4rJGC9 TnL.
Address :B-13?
City/Zip Code ?yaG qt? j\Ny\, 7 j??z2
//- Z-40-1
-----
oecupancy R3 n?t-f
Zoning 1'C" 1
6etual Const V-N
Allowable
0 of stories
Length
Depth HS'
S.F. Total
Footprint S.F.
On site sewage
On site well
Mwcc sy9tem ?
City vater ,/
PAV required _
Booster Pump _
iPPHOVALS
Planner _
Council IBldg. Off.
Yariance
F'.s
Bldg. Permit OU
Surcharge do
Plan Review sfB3 cx?-
3AC, Citq 100,00
SAC, MWCC 575.00
Water Conn o.oo
Water Heter 170.00
Acet. Deposit 3o.00
S/H Permit Zo.oo
5/A Surcharge !,P0
Treatment P1. ZZ13,00
Aoad Unit 3 0.0P
Park Ded.
Copies
susraraL
Penalty
TOTAL ' ( .
Phone A '?\? 2' Ina.4
- vaL-ua,-r ioN
GARAGE
?? xyZ c l17?
1 y X 1 ? _ (306)
S?o x i5= ! 3a?
SSmT, sT F?c?rz
3qx n=
Z2t? 3 = ?G
?! X?-11c ?2 = 5S
8`fzx8?'zx?'2? 36,
__----
1373 K (cy = 8l 672
Zr.j b Ft-ooY2
as x ss 1gf)5
1? xly= rS?I
x sD = r16
1173-12
,2`d X .Z4 = (o `1 Z..
j? K 10= 19$
8 I'7 = / ql)j,
r -
, •?
• Y ? ?
?t? ilp
•
112 ) 6Z
? rertificate for:
Basic Buil.ders Inc. Bk: 140 Pg. 31
DELMAR H. SCHWANZ
LAND SURVEYORS.INC.
RegislerM UnAer Lows ol The Slate M Minnefota
14750 SOUTH ROBERT TRAIL ROSEMOUNT, MINNESOTA 55068 812/423-1768
9 SURVEYOR'S CERTIFICATE
137.25 se?°a?'as"w ?._
E-W 1/4 line
0
N
N
O
O
Z
3
O
F
Q
J
a
\11-
O
O
M
a?
¢
O N
N ?
0, .
88.84
TDP HUB • 1
N
Q
W M
a
a
90.64
TOP HUB ?
N '
e
b
??.
3026 1 2
?
?
873 TOP HUB ?D 36
GAPAGE m
N
o-1O ,
PROPOSED
110USE
? m GAq.
10'0 _ ? , _ _ m 2L8!
aa
9
: 90E1?CAliT F
I
'• ?cj2'A 167 25 A EAST
137.25 ! { EAJY --.
DEP's`
. ' 94.84 94.1 T.G
T. C.
1 Cu, 11 C1A! -? hi_?_/ C?_I V?'J?
11 T?
? ''/?o O V G V
LEGAL DESCRZPTION
The West 137.25 feet of the East 304.50 feet of Lot 3, HIGHVIEW ACRES, according to
the recorded plat thereof, Dakota County, Minnesota.
Also showing the location of a proposed house as staked thereon.
I heraby ceAi}y thet this survey, plen, or report was
prepereC Cy me or unCer my direc[ supervision antl
ihet I em a duly RegistereC land Surveyor under {( i: Jr /?/
tha lawa of Me State of Minnasota.
l./ !
Datetl November 2, 1989 Oeimar H. Scnwanz
Minnesota Regiltration No. 8625
gg?` 89.88 ? ?
TOP HUB
n ,
m;b
3
0
N
N
O
O
2
-15
?
SCALF: 1 inch = 40 feet
o Denotes set iron pipe
• Denotes found iron
F
Q
J
a Note: ftouse on west side is set
0 back at 39 ft.
O
? House on east side is set
6ack at 56 fC.
Averaqe setback = 47.5 fC.
8992 Proposed garage floor
TOPHUB el.ev, = ft.
O
N
T
TOP HUB
88.68 i
is-?zs.s9 N
1 Q
W
?
? m
"' n N
a s ?
? 2615 : N
15
. . , .. ?i Ni21/4
NiNtJESO?A. STt?TE E?7iiRfY CODe CaICULATIONS .#??_??
BASf" ON CHf?FTcR $ OF TIiF 7T
., . HDDEL [idERGY CODE - 1983 Efl1TI0W
Adoptlon Effective 11N)
Owner ,m ?,?,; Phone Date
? Slte Address Ib- ^00
Contractor
Phone
$uPlding Ciasslfication: Type A1 (Single Famify & Dupiex)`4____Type A7(Residentfal)
(3 stories or less
NOTE: Compiete page, 3 and 4 first. '
(Other) (Over 3 stories)
GENERAL iNf ORi1AT I ON
y
1. $ulldlng Perimeter ?
?G = c .
2. WaE2 height (ground to eave) 0 ft.
l h. •
3• f. x 2. (above) gross wali area fC 2
,
4.
$
6.
Bullding dimensions (L) ---- X(W) -- _17(? j ft.Z roof b floor area
Squere foot area of rim jofst - F'oor
/ joist size (2 x f t2
? X P7rfineter = Rim Joist area = U G?
S5
Doors - Area .
Thickness
Type of Construction
Hanufacturer
7. Totel door's perSmeter
in
ft.
ft.
1
8. Wlndows: Hanufacturer_??(/, State approved
U factor --
TYFE SIZE AREA (Ft.2) NUMBER OP
" EACH UN1TS
9. 7otal ft.2 Glass %62?tZ J
U factor /4/ ? i [4
Perlme:er
TOTAL FEET Z
10. Flreplace area; Width X helght = X = Ft.2
11. Exposed foundati^n: Heleht X PerlmPter X i?? - l ?:J•?? Ft.2
COMPLETiON OF TIi15 FOR"i f5 REQUIR'r"D FOR ALL i1[?? COtiSTRI'iC; ON, Iir1JOR REMODEI NG ANfl BUiLDINGS BEINi
MOVED WNERE ENERGY, OTHER TfiAN TNE F11NIhtAL COD[ ALLDWANCEs IS USED.
?? /-?? •
12. <raming area = 10% ofi gross wall area.
13. Gross wall area ft.Z
4lindow area A ?lJ?7? ft.2 U windoms U x A = ?r
Rim joist area A +Z?r(pJ ft.2 U rim joist =U x A = rj• Z?
uoor area A' Gi 2
Z-l C') ft.
U door area = U x
A ?
= 57,06
Fli??,? ?? z
A 4?? p f t
U 006
?7 U x
4 _
A p
= r I 1
-74
a rea
. V,
. ?
Exposed foundation A 10?3t 95 ft.2 U foundation 070 •U x A = -]i OL?- "
Framing area A 30?-? 1 L(?:?Ji-7 GJ,?ft.2 U franiing area = r01 ?5> U x A =?! Jv
Net wali area A Z3?'?JIft. U wail U x A = OZo>
? (135) 70TAL . . . . . . . . . . U x A = I 3' S
i
14. Gross wall area z 0.11 {A-1 single family & duolex = allowabie U x A/Code
(13. above) .
x 0.23 (A-2 other residentia l)
,. x .23 (Other buildings)
x .23 (Ovet- 3 stories)
8TUH Must
b
e larger than
A ?xp x L Code ???? ? ')7F-. 13B above
15. Ce9ling framing area (Af) equals 10% of ceil inc, area ?. or the. S ame ds}
15A. 6ross ceiling area =(l) '-- x (W) _ 1 7?? ft.z
156 Joist areA (Af) = 10% ceiling area = ?-7 ?7 ft.2
2
15C. Net ceiiing area (Ac) (15A - 158) = ft.
= roZz' x
U ceiiing x A
C
DZ?
f
I? = 4
? 07
raming x A f= '
x__
U ,
_
150. TOTAL U x A ............................... ......... ?j !O
16. Ceiling area (15A) x 0.026 (A-i single `ami ly 5 dupiex - code aliowable U x A
x 0.033 (A-2 other resid ential)
x 0.06 {other}
I ?- pz (y 12 0 BaLH Must be larger than 15D (above)
A S1s.ql x u code -? lv°? F {or the same as}
NOTE: Use U and A values obtained from pages i, and 4.
CERTiFICp,710N: I hereby certify that f have calculated the "U" factors and "R" vatues
heretn and that the buliding here descrlbed meets or exceeds The State of Minrtesota
Energy Conservation Act.
Date
gnature
VI???? ?1
? _. .. . ._. ?... . . .. " .?.
rl _?- . _..... ._. ?.._..... . ..._.?.?.....
I ) ? 7olo
f.?.?. 51g5?
----
?
j? . .....-- -_. - ----. ...._... ... . ?.? %i:i ? C1 ? .. . ...... . ..... _._ .
-- L
?,.
??
_-
47,?r-- ---
'?w?-
-----
I'',, ?U.,? ??- ?= 33. 7SX 1= 3_3,75
a X I o
_ __
, __ _ -- -
,.
?
33,°X `?'= 13z, ?
,
----
i, ?
---
,
j .-_.._____. ...___... ... ..? .µ?c.? .._
.. ...?__... ..... ..._ ...?. _ ..
?.?
+.? / .
rq;
--
i ,?--- ,p?
, _ ? - _ -- -
,
! ? + ? ?
WALL
5EC2ION
SYUR
SLCTION
SECTLON.
RYH
JOI51
u vxluL LntLutwo tuNs
R -vALUE U VALUE
Inside air film .68 Intector wa11 .45 (Nall) U . ? .
Insuiation +?'b
Shenthing 7-'069
Stding .(01 '
Outs(de atr film .17
R TOTAL
Ins4de air ftlm .6$
Interior 431L •? ?
stud R= [??$ (Ao57 (Framing) U ? R
Shea[hing , '??o(c
Siding
. ,?-
Outsfde air film .17
n ?OTflL
Instde air film R= .68
Intertor wall
? Ynsulatton
Ex[erior wsll cobFrSng
Extet[or air film R?.17
R TD2AL
(wHll ? V i R v
z
tnrertor atr film R= .68
insulation 11'00
u h sa[t wood R=1,88 (Rim
Joist)
hing Z??
va11 covering •? 1 .
Exterior*
Exterior air film R= ,17
R TOfAI. z i .
-lor ai: film R= .fifi
lattor. 11'0
a
daC[on
rior atr film R= .17
F Torr.t, [3 , t 3
scd 3luck
1
U = 1?=
1 04i
?
I
(Fdn.) U = k =
? OZ(o
I .
, \ \1 7?- - .---_ c.
CEiLtP1G WI?N UENTED FT+IC SPACE ABOVE ,
R 'lALUE UE
? FRAM1PdG CEIIING
y 0.61
t D
J- "i' %IJ
0.61
.?Z*I(O
? 0-73
Air Fiim 0.51 . '
Irzsulation .O?
Joist
Ceiling .t5;[/,
Air Fi1m 0.63
Total R
1
u _ ? , oZZ
FLAT ROOF OR CATHEORAL CEIIiNG
R Va ve R 'lALUE
FRAMING CEILItIG
0. 61
0.17
Inside air film 0.61
Ceiling Joist (stu
Insulation
Air space
Roaf decking
Insulation
Quilt-up roof
Outside air film 0.11
Total R
j=U
R
4indow infiltration ,5 cfm/lineai foot of crack
tesiden$ial door infiitration 0.5 cfm/square foot or door arrd minimum code requiremenk
•lon-residential door infiltration 11.0 cfm/tineal foot of crack ,
Jb 12" concre*e block no insuiation =.47 R 2.1
1b 12" toncrete b1ocF, insulated cores =.2b R 3.8 3b 12" iigiitweigfrt block =.32 R 3.1
1b 12" ligntr,eight block insutated'cores =.12 R 6.3
J S1ngle glass = 1.13; with storm talndow .54 ! doUble glass = .55 ,.
J tripie glass = .41
M exterior walls and reilfngs mttst have a va4er barrier (0.10 perm max.), ;
aapor barrier must be on the inside (heated side) of wall. iapor barriers of the polyethelene thin film have no R value. '
SPECIAL ASSESSMENT SEARCH SUMMARY
AS OF: 07/17/1991
PROPERTY ID: 10-32880-032-00
S/A# ASSESSMENT DESCRIPT. YEAR TM RATE TOTAL ANN.PRIN. PAYOFF CD
100004 SAN SEW TRK 0000 1 0.0000 215.00 0.00 0.00 CL
100005 SAN SEW LAT 0000 1 0.0000 1324.17 0.00 0.00 CL
100008 WATER LAT 0000 1 0.0000 946.82 0.00 0.00 CL
100339 WATER AREA 1976 15 8.0000 160.00 0.00 0.00 CL
100652 ST-292 1981 15 11.0000 2641.24 176.08 0.00 PP
100653 SS-292 1981 15 11.0000 2875.80 191.72 0.00 PP
------ SUMMARY OF LEVIED 0.00 0.00 0.00
****** 1991 P&I CERTIFIED 0.00
------ SUMMARY OF DEFERRED 0.00 0.00 0.00
------ SUMMARY OF PENDING 0.00 0.00 0.00
------ SUMMARY OF CLOSED 8163.03
Press ENTER; or F1, F4, F5, F7, F8
KRECH, O'BRIEN,
MLTELLER
INC.
ARCHITECTS Q WASS,ERS
?FJNGINE
6115 CAHILL AVENUE INVER GROVE HEIGHTS, MN 55075 612-451 -4605
October 12, 1989
Basie Builders
14450 So. Robert Trail
Rosemount, MN 55068
RE: Residence for Mel & Martha Metz
Dear Jeff:
As per your request the foundation and footings at the precast
floor for the above residence was checked structurally. The
distance between the floor slab and bottom of precast was taken
as 7'-8"•
The wall shall be reinforced with Il5 at 61-0" o.c. placed 3"
from inside face of wall. (all bars should be supplied in 41-0"
length plus 40 diameter lap splice). The cores at the
reinforcement shall be grouted solid with concrete. The footings
shall be 24"x10" with 2-114 Bott.
The lower $x7 O.H. door lintel shall be an 8" deep lintel block
with 2-#5 Bott, and a C3x4.1x9'-4" channel embedded in the bond
beam. Cores at each end shall be filled with concrete and 1-165
bar. Cores beneath girder truss shall also be filled and
reinforced with 4k5 bars.
Please call if you have any questions.
Sineerely,
James H. Krech, P.E.
KRECH, 0'BRIEN, MUELLER & WASS, INC.
JHK:a
city oF eagan
i?u- ?? _
-----
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I I I(.?M4; I IFf ?)1 5
Ocfober 1, 1990
?
:?rvnrer
?n?:rrn vniin
rnc (14
MR MELV/N METZ
1439 f flGNVlEW AVENUF_
FAG/I N, MN 55121
RE: P.I.D. #10-32880-032-00
Nfr?hvicw F?cr£S
Dear Mr. Metz:
/I.z you are aware, beqinnrng wifh a letter dated July 17, 1990 you arid I have been rn
corTtact periodically regardirtg the, auto repair operation you are conducting at your
prernises. /1s you may recall, r.omplaints 1 had received that prompted my initial letter
nertained to the arnourrt ol ve.hir.les stored at your house and the noise generated while
y_nri worked on these same vehicles.
You told me tliat your intention was to finish the improvements fo yocrr garage and all of
your work and storage would take place inside the garage. At fhat tirne, ! told you tfrat
rt was still a vrolation of the Ciry 1 fome Occupation standards, but il the complaint caf/s
qtopped, I would consider the matfer closed. Since that time, I have spoken to both you
and your wife ebout additional complaint calls. On Friday, September 28, 1990, 1
,er.eived complaint calls lrom three separate people who wish to see an end to yourauto
repair business. I tried to reacli yoti ort Frrday and !e/t a message.
Recause the compfaint caNs c.ontinue to come iri, 1 Itave to inform you that your auro
repair operation must he tennrnated. Failure to do so on your part wiN /orce me to issue
yoti a violation summons for an illegal home occupation.
THF LONE OnY, IRFE...TI IF SYMAOL OF STRENGfH AND GROWIH IN OUR COMMUNIiV
_..---
Fqual Opportunity/Atfirmafive Action Employer
?
G'lease inlorm ol your intent and provide a schedule of compliance within a week (rom
ihe date of this correspondence. Thank-you in advance (oryouranticipated cooperation.
Sincerely, -
Il1ir.ltael J_ Ridley
Projeo! PJanner f
MJnljs
CC: Jim Sturm, Cify Planner
Joe Earley, City Aitorney
OF
3830 PILOT KNOB ROAD
EnGAN, MINNESOiA 55122-7897
CHONE: (612) 454-8100
FAX? (619) 4548363
August 2, 1990
MELVIN METZ
1439 HIGHVIEW AVENUE
EAGAN, MN 55121
RE: P.I.D. #10-32880-032-00
Denr Mr. Metz:
f?i9hui?? Qcres
rHOnAs r:GnN
nkryM
DnVN K. GU9P350N
or.MELn ^.kcuEr.
iIM PAWLF.NN
THEODORE WACH7FR
COUncil hM_mbers
I1I0N?5 HEDGES
Ciy Adniini5lra[or
FUGENE VAN OVERBFNF.
acy cIe.F,
I axtempted to contact you by teleplaaie today, but was told you would be at work uretil afier
5:00 p.m. Because I could not reach you by phone, I am wntireg this letter as a joRnw-up ta
the July 17, 1990 letter I senl you.
I have received funlaer complaints regarding your automobile repair operaliott at your home.
The Cidy of Eagan has home occupntior: requiremerats dsae mcest be met irt order to legally
operate. once again, I am eticlosing a copy of these requiremersls for yocer review. Please
disca¢tinue your operatios: hy August 10, 1990.
Plense inform me oj your interat and provide me a scltedule of complialsce. Tharak yott ira
advance for your anticipnted cooperatioia.
Sittcerely,
'L/.,?/
?
Mic/tael J. Ridley
Plaruter I/Zaeing Adm ' tratar
MJR/js
CC: Jim Sturm, City Plantter
Mike Dougheny, City Auontey
THE IONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWTH IN OUR COMMUNIiY
Equal Opportuniry/Affirmative Action Employer
?
-cIty OF
3830 PILOT KN08 ROAD
EAGAN, MINNESOTA 55122-1897
GHONE: (612) 454-8100
FAX: (612) 454-8363
July 77, 1330
MELVIN & MARTHA METZ
1939 H1GHV/EW AVENUE
EAGAN, MN 55121
RE: P.I.D. #10-32880-032-00
Dear Mr. & Mrs. Metr:
6N,'3h";" AC,-r:)
THOMAS EGAN
Meyor
DAV1D K. GUSTAFSON
PAMEU+ NcCREP.
TIM PAW LENTY
THEODORE WACHiER
CourKil Members
THOhNSHEDGES
City AdminisVawr
EUGENE VAN OVERBEKE
City Clerk
The Community Development Deparfinent has received several complaint calls
regarding an automobile repair business being run out of 1939 Highview Avenue. Our
records show you as the owner of said propeRy. An inspection of your property
revealed a large number of assorted Volkswagen vehicJes parked in front ot both your
garages. This situation lends support to the complaint cal/s we've received.
The purpose of this letter is fo inform you of Eagan's home occupation requirements.
1 have enclosed a copy for your review. Please discontinue this operation wilhin ten
days from the date of this letter.
Thank-you in advance for your anficipated cooperation.
Sincerely,
. ? /?
Michae/ J. Rid/ey
Planner 1/Zoning Administrator
MJR/js
CC: Jim Sturm, City Planner
Mike Dougheriy, City Attorney
THE LONE OAK TREE...THE SYMBOL OF STRENGTH AND GROWfH IN OUR COMMUNIN
Equai Opportunity/Affirmative AcTion Employer
^-for- O-ffi-ce--Use -----------I
~
Permit / j
City of EalEltd,o
Permit Fee:
3830 Pilot Knob Road I I
Eagan MN 55122 ; Date Received: "7 2- ;
Phone: (651) 675-5675
Fax: (651) 675-5694 1 Staff:
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: li3f /4)i Site Address:
Tenant: Suite
RESIDENT / OWNER Name: &72 Phone:
Address / City / Zip: ~q31
Applicant is: Owner __A' Contractor
TYPE OF WORK Description of work: s e jzz/ "
Construction Cost: Multi-Family Building: (Yes / No )
CONTRACTOR Name: ~~,W R• t License
Address: 1~~2~ 6k_
City: ) ~ State: Zip:/ 2
f 1-01_
Phone: 1,-Q ;V'1& Contact Person: oa ~ c✓r Ft~
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
_ Minnesota Rules 7670 Category 1 _ Minnesota Rules 7672
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plan .
x W- ~ft~ x
Applicant's Printed Name Applic Sin re
Page 1 of 3
Use BLUE or BLACK Ink
For Office Use
~ Permit 5_3
City of Eaoa~ I I
b I Permit Fee: / T
3830 Pilot Knob Road I I
Eagan MN 55122 Date Received: 1
Phone: (651) 675-5675 j Staff: C_G
Fax: (651) 675-5694 I I
2010 RESIDENTIAL BUILDING PERMIT APPLICATION Zd_4fd 1-11
13
rr
Date: Site Address: ~J
Tenant: Suite
RESIDENT / OWNER Name: Phone: C9Isl-Y~Z `
Address / City / Zip: 14,W / kU uZ.a b
Applicant is: Owner Contractor
TYPE OF WORK Description of work: (J /~✓I~YL s'Y/
Construction Cost: 00 Multi-Family Building: (Yes / No )
CONTRACTOR Name: License
Address: City:
State: Zip: Phone:
Contact: Email:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE: Plans and supporting documents that you submit are considered to be public information. Portions of
the information may be classified as non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets.
CALL BEFORE YOU DIG. Call Gopher State One Call at (651) 454-0002 for protection against underground utility damage.
Call 48 hours before you intend to dig to receive locates of underground utilities. www.goi)herstateonecall.org
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to tart without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a~review and approval Ian .
X e E OY7 x
Appli ant's Prin ed Name Applica is 1511gna re
Q i 2010 Page 1 of2
DO NOT WRITE BELOW THIS LINE
SUB TYPES
Foundation Fireplace _ Porch (3-Season) _ Storm Damage
Single Family _ Garage _ Porch (4-Season) _ Exterior Alteration (Single Family)
Multi _ Deck _ Porch (Screen/Gazebo/Pergola) _ Exterior Alteration (Multi)
01 of _ Plex Lower Level _ Pool _ Miscellaneous
Accessory Building
WORK TYPES
- New - Interior Improvement _ Siding _ Demolish Building*
Addition - Move Building _ Reroof _ Demolish Interior
Alteration Fire Repair _ Windows _ Demolish Foundation
- Replace - Repair _ Egress Window _ Water Damage
- Retaining Wall *Demolition of entire building - give PCA handout to applicant
DESCRIPTION
Valuation Occupancy MCES System
Plan Review Code Edition SAC Units
(25% 100%4) Zoning City Water
Census Code Stories Booster Pump
# of Units Square Feet PRV
# of Buildings Length Fire Sprinklers
Type of Construction Width
REQUIRED INSPECTIONS
Footings (New Building) Sheetrock
Footings (Deck) Final / C.O. Required
Footings (Addition) 4C Final / No C.O. Required
Foundation HVAC
Drain Tile Other:
Roof: -Ice & Water -Final Pool: -Footings -Air/Gas Tests -Final
Framing Siding: -Stucco Lath -Stone Lath -Brick
Fireplace: -Rough In Air Test -Final Windows
Insulation Retaining Wall: _ Footings _ Backfill _ Final
Meter Size: Radon Control
Erosion Control
Reviewed By: , Building Inspector
RESIDENTIAL FEES
Base Fee r
Surcharge ~ X21 f A C2 C~
Plan Review
MCES SAC
City SAC _
Utility Connection Charge
S&W Permit & Surcharge
Treatment Plant
Copies
TOTAL
Page 2 of 2
, Use BLUE or BLACK In
r----------------�
� I For Office Use ���
� � Permit#: / �v�?`7 6'",-7 � :'�
City of �a��� �
' l.:�S. �� ���
� Permit Fee: '
3830 Pilot Knob Road �
a
Eagan MN 55122 � Date Received: /►ti'�„p�J�
Phone: (651)675-5675 � ; � �
Fax: {651)675-5694 t ,- ,, �,r � Staff: �
..
..� :.
...��1� � �.,l�i� -----------------�
(�►�'�� � 2015 RESIDENTIAL BUILDING PERMIT APPLICATION
��--e;v-e.�►�:
Date: 8. L� .'ZQ� �-�i Site Address: � q 4"1\f I�W � h(1 /V"v Unit#: "'J
��z -� � ,� /�����v �.�,�� .���I. 2�g. ?��D
� ,�� , Name: Phone•
'��?��`��3�� : , , n �
��� : Address/City/Zip: j V .2� C'�t,�Vl M'1 v `Z
� ,;
„s; Applicant is: �Owner Contractor
� � -�' Ox
' Description of work: �.���rQX l) t-�-�� � V" w.e� V1 C�I ��Z�, ��j
��������
�
% ,� �.: Construction Cost: � � �'J�°�� Multi-Family Building: (Yes /No�
� �
s � j1
� �� Com an Vl.�� VYI Ol:�`,� � „�- '� D a v�� D o►A� n��
` � p Y 1S Y) � Contact:
� {
�� -T=--
�'� � Address:���-�GI � Fj� �1(.2� � , City: t'" I fA YYl D i/l 1 V 1
; �v��ra��
, State: �� Zip:��_ Phone:��B�. '�J�J-1.U.N��mail: (7Id� t1 WY1Q,1�t � �Iy,'- YYIY� _( �+1r1�
�
=' License#: Lead Certificate#:
If the project is exempt from lead certification, please explain why:
�i �
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
Yes �No If yes,date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer 8�Water Contractor: Phone:
Fire Suppression Contractor: Phone:
>; �`�' 1�►�,�1�;� �?��falt�C�����t`,���3`������t�� ' ��.����� � ,���&t�r�+��
, �`���'��������a,s��c���at����`'�r��g��r� �'��rea���t���l�������o
, s�
��. , z� f ������� �� �
z�,,�. . ; ,,. ; ._. - ��.. e3: - `� �� "� �,
�
... �. .. .. ..� w � �._:: . »>: , ..:��� �_� ,�
_ ._ _....
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. vwuw.aopherstateonecall.ora
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Minnesota State Building Code must be completed within 180
days of permit issuance.
X �.. ' +� x !��L .
Ap icanYs Printed Name Applicant's Signature
Page 1 of 3
���'� �I r(;,I�t�'>L—u� /��"� DO NOT WRITE BELOW THIS LINE /����� �
SUB TYPES �
_ Foundation _ Fireplace _ Porch(3-Season) _ Exterior Alteration(Single Family)
_ Single Family _ Garage _ Porch(4-Season) _ Exterior Alteration(Multi)
_ Multi _ Deck _ Porch(Screen/Gazebo/Pergola) _ Miscellaneous
_ 01 of_Plex _ Lower Level _ Pool � Accessory Building
WORK TYPES/ �yyy`�P"���jl ��ry�"�
� New �_ Interior Improvement _ Siding _ Demolish Building'`
_ Addition _ Move Building _ Reroof _ Demolish Interior
_ Alteration _ Fire Repair _ Windows _ Demolish Foundation
_ Replace _ Repair _ Egress Window _ Water Damage
_ Retaining Wall *Demolition of entire building-give PCA handout to applicant
DESCRIPTION
Valuation Occupancy �� � MCES System
Plan Review Code Edition � SAC Units
(25%_100%� Zoning City Water
Census Code Stories Booster Pump
#of Units Square Feet PRV
#of Buildings Length Fire Suppression Required
Type of Construction � Width
REQUIRED INSPECTIONS
Footings (New Building) Meter Size:
Footings (Deck) Finat/C.O. Required
Footings(Addition) Final/No C.O. Required
Foundation HVAC Gas Service Test Gas Line Air Test
Roof:_Ice &Water _Final Pool:_Footings _Air/Gas Tests _Final
Framing Drain Tile
Fireplace:_Rough In Air Test _Final Siding:_Stucco Lath _Stone Lath _Brick
Insulation Windows
Sheathing Retaining Wall:_Footings_Backfill_Final
Sheetrock Radon Control
Fire Walls Fire Suppression:_Rough In_Final
Braced Walls Erosion Control
� Other:��� �,�''�-�
Reviewed By: Ls , Building Inspector
RESIDENTIAL FEES
Base Fee ���
Surcharge ��
Plan Review
MCES SAC f -`"`��W---�
n r� r�,.��---�
City SAC �i`��
Utility Connection Charge f � �
S&W Permit&Surcharge /
Treatment Plant
Copies
TOTAL ~ 17 ��'���' Pa e 2 of 3
9
Use BLUE or BLACK Ink
r
For Office Use '�
Permit#: ��( `�
' ''' City of Eaall
0(0
Permit Fee: 1(1'62/-D'
3830 Pilot Knob Road
Eagan MN 55122 Date Received:
Phone: (651)675-5675
Fax: (651)675-5694 Staff:
2017 RESIDENTIAL BUILDING PERMIT APPLICATION
Dat?//a/-2°i? Site Address: )q3 I 4 tothu lett.) Au 1-cLz AIA ko ii Unit#:
Name: 1V1R24114 MA- Phone: 651- 23g 2-9931
Resident/ jj 1 2 3 ,
I Owner Address/City/Zip: 1 4 ' �\c h U f e,,,) A V�" I
l
1 Applicant is: Owner 'S Contractor
T e of Work Description of work:1/0 PNrao't use-d 6 Air ale Q(So 4Yp Construction ®C
Cost:
✓ / 3 I I , (To Multi Family Building: (Yes /No
Company:4(3\It 2-TO Roo�'. q,._.,. Contact: RIG�� �Uco v
1
Contractor i Address: q 120 ZA(2EAU e_ `S 6 City: CO 5 e aY O)e
State: WI VI Zip: S$O 16 Phone: 65(`238-9?3SEmail: Ovar4 he.-kr:(5SO/60 voitoc.c o 14.E
License#: IaC_..0 9 '2-5‘ 2.5 Lead Certificate#:
1 If the project is exempt from lead certification, please explain why: I
1
I
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
I
Yes No If yes, date and address of master plan:
t
Licensed Plumber: Phone:
s Mechanical Contractor: Phone:
I
Sewer&Water Contractor: Phone: i
I
' Fire Suppression Contractor: Phone:
NOTE. Plans and supporting documents that you'submit are considered to be public information. Portions of
1 the information may be classified as non-public if you provide specific reasons that would permit the City to I
conclude that their are trade secrets. s a.
CALL BEFORE YOU DIG. Call Gopher State One Call at(651)454-0002 for protection against underground utility damage. Call 48 hours
before you intend to dig to receive locates of underground utilities. www.gopherstateonecall.orq
I hereby acknowledge that this information is complete and accurate;that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and approval of plans.
Exterior work authorized by a building permit issued in accordance with the Mi •• Sta : Building Code most be completed within 180
days of permit issuance. /
C t v by- cs �_x Y x c> �,--_, 3/,0h,17
Applic nt's Printed Name Appli'ant's Signature
Page 1 of 3